Individual
MS. SHARON ANNE RADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
380 FREEVILLE RD, FREEVILLE, NY 13068-9684
(607) 844-6460
Mailing address
451 SMITH RD, GROTON, NY 13073-9780
(607) 898-9142
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33119
NY
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
33119
NY
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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